How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $26.30 | Professional | None | $19.95 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $56.23 | Professional | None | $45.71 | $48.98 | $56.23 |
Hally Health Setting Professional Modifier None Typical Low $19.95 Median $30.20 Typical High $134.90 | Professional | None | $19.95 | $30.20 | $134.90 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $52.48 Typical High $758.58 | Facility | None | $32.36 | $52.48 | $758.58 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $47.86 Typical High $275.42 | Professional | None | $30.90 | $47.86 | $275.42 |
Midlands Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
Midlands Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $75.86 | Professional | None | $56.23 | $57.54 | $75.86 |
United Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $676.08 | Facility | None | $323.59 | $537.03 | $676.08 |
United Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $60.26 | Professional | None | $23.99 | $38.90 | $60.26 |
Wellmark Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None | $36.31 | $36.31 | $42.66 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $10.00 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $3.98 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.98 Typical High $3.98 | Professional | 55 · Aftercare only | $3.02 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.00 | $2.63 | $2.63 |
Where Iowa sits
The same service costs 2.8 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Iowa· 4th of 51
$42.66
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.